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DEPARTMENT OF INSURANCE
Affiliations
Name
Grewatz, Derek Ethan
DOIID
520134
NAIC NPN
3811519
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Property
1/11/2001
12/3/2012
Inactive
Non Resident
Agent
Casualty
1/11/2001
12/3/2012
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
St. Paul Fire and Marine Insurance Company
300782
Agent - Casualty
1/11/2001
1/3/2013
Inactive
St. Paul Fire and Marine Insurance Company
300782
Agent - Property
1/11/2001
1/3/2013
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Western States Insurance Agency, Inc.
578307
Agent - Property
10/9/2003
11/26/2012
Inactive
Western States Insurance Agency, Inc.
578307
Agent - Casualty
10/9/2003
11/26/2012
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